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Completed form can be faxed to your Green Shield Group Administrator at (519) 2551316 or mailed to: Green Shield Canada, P.O. Box 1612 Windsor, ON N5A 7A7ENROLLMENT / CHANGE FORM Please print or type

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How to fill out green shield canada enrollmentchange

01

Log in to your Green Shield Canada account

02

Navigate to the enrollment change section

03

Fill out the required fields with accurate information

04

Verify the information provided

05

Submit the enrollment change request

Who needs green shield canada enrollmentchange?

01

Individuals who have changes in their personal information such as address, marital status, dependents, etc.

02

Employers who need to update their employee's information

03

Insurance brokers who assist clients in managing their Green Shield Canada accounts

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What is green shield canada enrollmentchange?

Green Shield Canada enrollmentchange is a form used to make changes to your existing coverage with Green Shield Canada.

Who is required to file green shield canada enrollmentchange?

Any individual who needs to make changes to their coverage with Green Shield Canada is required to file an enrollmentchange form.

How to fill out green shield canada enrollmentchange?

You can fill out the Green Shield Canada enrollmentchange form online or in paper format. Make sure to accurately provide the requested information.

What is the purpose of green shield canada enrollmentchange?

The purpose of the Green Shield Canada enrollmentchange form is to update or make changes to your existing coverage with Green Shield Canada.

What information must be reported on green shield canada enrollmentchange?

You must report any changes to your personal information, coverage options, and beneficiaries on the Green Shield Canada enrollmentchange form.

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